TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) COLLEEN THAYER...................................................................... CHAIR	2.00 .................	X	X			0	0	0
(2) AMY WRIGHTSON...................................................................... VICE CHAIR	2.00 .................	X	X			0	0	0
(3) JAMES T GOLDEN...................................................................... IMMEDIATE PAST CHAIR	2.00 ................. 2.00	X	X			0	0	0
(4) TIMOTHY KNOWLES...................................................................... SECRETARY	2.00 ................. 2.00	X	X			0	0	0
(5) ANN CAMPBELL...................................................................... BOARD DIRECTOR	2.00 ................. 2.00	X				0	0	0
(6) JENNIFER BENCIE MD...................................................................... BOARD DIRECTOR	2.00 .................	X				0	0	0
(7) LORENZO WAITERS...................................................................... BOARD DIRECTOR	2.00 .................	X				0	0	0
(8) KEVIN NORTON...................................................................... BOARD DIRECTOR	8.00 ................. 32.00	X				0	0	0
(9) MELISSA LARKIN-SKINNER...................................................................... CEO	40.00 .................		X			0	261,401	26,490
(10) SEAN GINGRAS...................................................................... REGIONAL FINANCE OFFICER	40.00 .................		X			0	135,407	22,776
(11) ROGER JOHNSON...................................................................... CHIEF OPERATING OFFICER	40.00 .................			X		161,086	0	25,931
(12) JESUS LINARES...................................................................... MEDICAL DIRECTOR	54.00 .................			X		400,118	0	23,263
(13) JOSE ZAGLUL...................................................................... MEDICAL DIRECTOR	40.00 .................			X		290,812	0	28,101
(14) BROCK HOLLETT...................................................................... PSYCHIATRIST	40.00 .................				X	272,045	0	27,030
(15) DEANNA LOMAX...................................................................... PSYCHIATRIST	40.00 .................				X	266,370	0	27,815
(16) RODOLFO RENI...................................................................... PSYCHIATRIST	40.00 .................				X	271,055	0	10,541
(17) JEFFREY HAMBLIN...................................................................... PHYSICIAN	40.00 .................				X	243,553	0	10,541

(A) Name and business address	(B) Description of services	(C) Compensation
CARDINAL HEALTH PHARMACY MANAGEMENT 21377 NETWORK PLACE CHICAGO,IL606731213	MEDICAL SERVICES	467,903
BEST REAL ESTATE GROUP LLC 15800 NW 88TH AVENUE SUITE 222 MIAMI LAKES,FL33018	PROPERTY MANAGEMENT	138,365
IMAGE FIRST HEALTHCARE LAUNDRY SPECIALIS PO BOX 748385 ATLANTA,GA303748385	LAUNDRY SERVICES	132,518
MARY E JENNINGS 624 11TH AVE EAST BRADENTON,FL34208	PROPERTY MANAGEMENT	126,880
JANET L SWEENEY 6228 35TH COURT EAST BRADENTON,FL34203	CONSULTING	104,438
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	30,771,134	37,010,533	38,844,721	40,566,904	47,224,658	194,417,950
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	30,771,134	37,010,533	38,844,721	40,566,904	47,224,658	194,417,950
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.						194,417,950

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	30,771,134	37,010,533	38,844,721	40,566,904	47,224,658	194,417,950
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	133,517	129,959	130,148	220,753	281,651	896,028
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	368,380	61,993	399,714	25,487	1,834,817	2,690,391
11	Total support. Add lines 7 through 10						198,004,369

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

98.190 %

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

99.000 %

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization CENTERSTONE OF FLORIDA INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization CENTERSTONE OF FLORIDA INC		Employer identification number 59-1009537

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization CENTERSTONE OF FLORIDA INC			Employer identification number 59-1009537
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

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Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
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Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). Click to see attachment

List of Attached Documents:

// Content

B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	44,147
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	44,147
d	Other exempt purpose expenditures ...............................................................................	63,680,718
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	63,724,865
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	46,427	50,547	69,997	44,147	211,118

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-A:	CENTERSTONE OF FLORIDA PAID A LOBBYIST TO ADVANCE CENTERSTONE'S INITIATIVES IN THE FLORIDA LEGISLATURE. CENTERSTONE OF AMERICA, INC. (PARENT ORGANIZATION), THROUGH ITS LEGISLATIVE POLICY DEPARTMENT, ADVOCATES FOR POLICY SOLUTIONS THAT SEEK TO ENSURE PATIENTS IN NEED OF URGENT MENTAL HEALTH AND ADDICTION CARE CAN OBTAIN THE HELP THEY NEED, WHEN THEY NEED IT. CENTERSTONE OF FLORIDA, INC., THROUGH THE MANAGEMENT FEE CHARGED BY CENTERSTONE OF AMERICA, PAYS A PORTION OF ITS LEGISLATIVE ADVOCACY COSTS. A PORTION OF MEMBERSHIP DUES PAID TO BEHAVIORAL HEALTH TRADE ORGANIZATIONS INDIRECTLY SUPPORT THOSE ORGANIZATION'S LOBBYING ACTIVITIES.

Return Reference

Explanation

PART II-A:

CENTERSTONE OF FLORIDA PAID A LOBBYIST TO ADVANCE CENTERSTONE'S INITIATIVES IN THE FLORIDA LEGISLATURE. CENTERSTONE OF AMERICA, INC. (PARENT ORGANIZATION), THROUGH ITS LEGISLATIVE POLICY DEPARTMENT, ADVOCATES FOR POLICY SOLUTIONS THAT SEEK TO ENSURE PATIENTS IN NEED OF URGENT MENTAL HEALTH AND ADDICTION CARE CAN OBTAIN THE HELP THEY NEED, WHEN THEY NEED IT. CENTERSTONE OF FLORIDA, INC., THROUGH THE MANAGEMENT FEE CHARGED BY CENTERSTONE OF AMERICA, PAYS A PORTION OF ITS LEGISLATIVE ADVOCACY COSTS. A PORTION OF MEMBERSHIP DUES PAID TO BEHAVIORAL HEALTH TRADE ORGANIZATIONS INDIRECTLY SUPPORT THOSE ORGANIZATION'S LOBBYING ACTIVITIES.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
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Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	17,171	17,171	17,171	13,446	12,908
b	Contributions ...
c	Net investment earnings, gains, and losses				3,725	538
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	17,171	17,171	17,171	17,171	13,446

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

100.000 %

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....	23,767,716	11,941,401	11,826,315
c	Leasehold improvements
d	Equipment ....	797,537	797,537	0
e	Other .....	1,306,415		1,306,415
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				13,132,730

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)ROU ASSET - OPERATING LEASE				2,519,146
(2)INVESTMENTS IN PARTNERSHIP				25,000
(3)NET INTEREST IN FOUNDATION				18,651
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,562,797

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER PAYABLES	3,314,555
LONG-TERM OPERATING LEASE LIABILITY	1,775,627
SHORT-TERM OPERATING LEASE LIABILITY	741,689






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,831,871
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	67,163,612
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b	97,586
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................			2e	97,586
3	Subtract line 2e from line 1..................			3	67,066,026
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	67,066,026

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	63,724,866
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	97,586
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................			2e	97,586
3	Subtract line 2e from line 1...................			3	63,627,280
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	63,627,280

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

THE GENERAL ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE ORGANIZATION.

PART X, LINE 2:

THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C) (3) OF INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION. THE ORGANIZATION APPLIES GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS. MANAGEMENT BELIEVES THE ORGANIZATION HAS NO MATERIAL UNRECOGNIZED INCOME TAX LIABILITIES, INCLUDING ANY POTENTIAL LOSS OF ITS TAX EXEMPT STATUS. THE ORGANIZATION HAS NO ONGOING FEDERAL, STATE OR LOCAL TAX AUDITS; HOWEVER, THE ORGANIZATION'S TAX RETURNS FOR THE PREVIOUS THREE FISCAL YEARS REMAIN OPEN TO EXAMINATION.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	53	35,057,136	13,666,420	21,390,716	33.620 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	53	35,057,136	13,666,420	21,390,716	33.620 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	26	24,384,409	3,880,209	20,504,200	32.230 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	4	2,012,599	42,956	1,969,643	3.100 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	30	26,397,008	3,923,165	22,473,843	35.330 %
k	Total. Add lines 7d and 7j .	83	61,454,144	17,589,585	43,864,559	68.950 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	1		358,621		358,621	0.560 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1		358,621		358,621	0.560 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

494,413

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,326,000

Enter Medicare allowable costs of care relating to payments on line 5.....

1,102,617

Subtract line 6 from line 5. This is the surplus (or shortfall)........

223,383

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Other (describe)
1	CENTERSTONE HOSPITAL 2020 26TH AVE E BRADENTON,FL34208	X		OUTPATIENT MENTAL HEALTH AND ADDICTIONS SERVICES FOR YOUTH AND ADULTS
2	CENTERSTONE CRISIS CENTER 2020 26TH AVE E BRADENTON,FL34208		X	SHORT-TERM RESIDENTIAL TREATMENT FACILITY

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTERSTONE HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): CENTERSTONE.ORG/LOCATIONS/FLORIDA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): CENTERSTONE.ORG/LOCATIONS/FLORIDA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTERSTONE HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

CENTERSTONE.ORG/LOCATIONS/FLORIDA

The FAP application form was widely available on a website (list url):

CENTERSTONE.ORG/LOCATIONS/FLORIDA

A plain language summary of the FAP was widely available on a website (list url):
CENTERSTONE.ORG/LOCATIONS/FLORIDA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTERSTONE HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CENTERSTONE HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTERSTONE CRISIS CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): CENTERSTONE.ORG/LOCATIONS/FLORIDA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): CENTERSTONE.ORG/LOCATIONS/FLORIDA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTERSTONE CRISIS CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

CENTERSTONE.ORG/LOCATIONS/FLORIDA

The FAP application form was widely available on a website (list url):

CENTERSTONE.ORG/LOCATIONS/FLORIDA

A plain language summary of the FAP was widely available on a website (list url):
CENTERSTONE.ORG/LOCATIONS/FLORIDA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTERSTONE CRISIS CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CENTERSTONE CRISIS CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
CENTERSTONE HOSPITAL	PART V, SECTION B, LINE 5: INPUT WAS OBTAINED FROM A WIDE RANGE OF RESIDENTS AND PROVIDERS WHICH INCLUDE BUT ARE NOT LIMITED TO CLIENTS; HOSPITALS; HEALTH DEPARTMENTS; LAW ENFORCEMENT; SOCIAL SERVICE AGENCIES; SCHOOL BOARDS; UNIVERSITIES; FAITH-BASED PROGRAMS, AND THE JUDICIAL SYSTEM.
CENTERSTONE CRISIS CENTER	PART V, SECTION B, LINE 5: INPUT WAS OBTAINED FROM A WIDE RANGE OF RESIDENTS AND PROVIDERS WHICH INCLUDE BUT ARE NOT LIMITED TO CLIENTS; HOSPITALS; HEALTH DEPARTMENTS; LAW ENFORCEMENT; SOCIAL SERVICE AGENCIES; SCHOOL BOARDS; UNIVERSITIES; FAITH-BASED PROGRAMS, AND THE JUDICIAL SYSTEM.
CENTERSTONE HOSPITAL	PART V, SECTION B, LINE 7D: THE FAP WAS AVAILABLE UPON REQUEST AND WITHOUT CHARGE (IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL).
CENTERSTONE HOSPITAL	PART V, SECTION B, LINE 19E: ALL UNINSURED PATIENTS AND CLIENTS MEET WITH A TRAINED FINANCIAL INTAKE SPECIALIST. CENTERSTONE OF FLORIDA'S STAFF REQUEST CLIENTS TO PROVIDE PROOF OF INCOME AND OTHER FINANCIAL INFORMATION SUCH AS TAX RETURNS, BANK STATEMENTS, CHILD SUPPORT, ETC. IN ORDER TO DETERMINE THEIR FINANCIAL ELIGIBILITY FOR DISCOUNTED CARE AT WHICH TIME THE AMOUNT BILLED TO THE CLIENT IS DETERMINED.
CENTERSTONE CRISIS CENTER	PART V, SECTION B, LINE 19E: ALL UNINSURED PATIENTS AND CLIENTS MEET WITH A TRAINED FINANCIAL INTAKE SPECIALIST. CENTERSTONE OF FLORIDA'S STAFF REQUEST CLIENTS TO PROVIDE PROOF OF INCOME ANO OTHER FINANCIAL INFORMATION SUCH AS TAX RETURNS, BANK STATEMENTS, CHILD SUPPORT, ETC. IN ORDER TO DETERMINE THEIR FINANCIAL ELIGIBILITY FOR DISCOUNTED CARE AT WHICH TIME THE AMOUNT BILLED TO THE CLIENT IS DETERMINED
CENTERSTONE HOSPITAL	PART V, SECTION B, LINE 20E: CENTERSTONE OF FLORIDA ALLOWS PATIENTS AND CLIENTS 30 DAYS TO PROVIDE REQUESTED FINANCIAL INFORMATION, WHICH MAY INCLUDE CLIENT'S STATEMENT RELATED TO INCOME AND FAMILY SIZE. IF THEY DO NOT PROVIDE CENTERSTONE OF FLORIDA WITH THEIR FINANCIAL INFORMATION WITHIN 30 DAYS THEY MAY BE CHARGED THE GROSS CHARGE OF SERVICES PROVIDED TO THEM. CHARGES ARE ADJUSTED ONCE THE CLIENT'S FINANCIAL INFORMATION IS RECEIVED.
CENTERSTONE CRISIS CENTER	PART V, SECTION B, LINE 20E: CENTERSTONE OF FLORIDA ALLOWS PATIENTS AND CLIENTS 30 DAYS TO PROVIDE REQUESTED FINANCIAL INFORMATION, WHICH MAY INCLUDE CLIENT'S STATEMENT RELATED TO INCOME AND FAMILY SIZE. IF THEY DO NOT PROVIDE CENTERSTONE OF FLORIDA WITH THEIR FINANCIAL INFORMATION WITHIN 30 DAYS THEY MAY BE CHARGED THE GROSS CHARGE OF SERVICES PROVIDED TO THEM. CHARGES ARE ADJUSTED ONCE THE CLIENT'S FINANCIAL INFORMATION IS RECEIVED.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address		Type of Facility (describe)
1	1 - CENTERSTONE SIXTH AVENUE 379 SIXTH AVE W BRADENTON,FL34205	OUTPATIENT MENTAL HEALTH AND ADDICTION SERVICES FOR YOUTH AND ADULTS
2	2 - CENTERSTONE HOSPITAL AND ADDICTION CENTE 2020 26TH AVE E BRADENTON,FL34208	RESIDENTIAL ADDICTION SERVICES
3	3 - CENTERSTONE 391 6TH AVE W BRADENTON,FL34206	OUTPATIENT MENTAL HEALTH AND ADDICTION SERVICES FOR YOUTH AND ADULTS
4	4 - CENTERSTONE FT MYERS 4350 FOWLER ST SUITE 12-18 FT MYERS,FL33901	OUTPATIENT MENTAL HEALTH AND ADDICTION SERVICES FOR YOUTH AND ADULTS
5	5 - CENTERSTONE SAWYER ROAD 4010 SAWYER ROAD SARASOTA,FL34233	OUTPATIENT MENTAL HEALTH AND ADDICTIONS SERVICES FOR YOUTH AND ADULTS
6	6 - CENTERSTONE SARASOTA 1910 ROBINHOOD STREET SARASOTA,FL34231	OUTPATIENT MENTAL HEALTH AND ADDICTIONS SERVICES FOR ADULTS
7	7 - CENTERSTONE LABELLE 813 W HICKPOCHEE AVE SUITE 500 LABELLE,FL33935	OUTPATIENT MENTAL HEALTH AND ADDICTION SERVICES FOR YOUTH
8	8 - CENTERSTONE ARBOR VILLAGE 2905 FRUITVILLE ROAD SARASOTA,FL34237	OUTPATIENT MENTAL HEALTH AND ADDICTION SERVICES FOR YOUTH AND ADULTS
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LN 7 COL(F):	PAGE B OF AUDITED FINANCIAL STATEMENTS:ACCOUNTS RECEIVABLE - ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT REVIEWS EACH ACCOUNT INDIVIDUALLY FOR PAST DUE STATUS AND PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A PROVISION BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS AND CONTRACTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE CENTERSTONE CHILD WELFARE DIVERSION PROGRAM SEEKS TO PROVIDE IMMEDIATE SERVICES TO FAMILIES UNDER INVESTIGATION BY THE MANATEE COUNTY SHERIFF'S OFFICE CHILD PROTECTION INVESTIGATION DIVISION (CPI). PROGRAM SERVICES INCLUDE INFORMATION AND REFERRALS, CASE MANAGEMENT, THERAPY, AND TRANSPORTATION SERVICES. THE PURPOSE OF THE CHILD WELFARE DIVERSION PROGRAM IS TO DELIVER SPECIFIC INTERVENTION SERVICES TO TARGETED POPULATIONS IN OUR COMMUNITY; WHILE PREVENTING AND/OR AIDING IN THE REDUCTION OF CHILD MALTREATMENT AS REPORTED IN THE STATE ABUSE REGISTRY. THE GOALS OF THE PROGRAM ARE TO MITIGATE THE RISK OF ABUSE AND NEGLECT, AND TO PREVENT THE REMOVAL OF CHILDREN FROM THEIR PARENTS/GUARDIANS AND HOMES.
PART III, LINE 2:	THE AMOUNT OF $494,413 RECORDED IN LINE 2 IS A VALUATION OF BAD DEBT EXPENSE BASED ON THE GUIDELINES OF HFMA STATEMENT NO. 15. CENTERSTONE OF FLORIDA CONSIDERS THIS A CONSERVATIVE AND APPROPRIATE VALUATION OF BAD DEBT EXPENSE.
PART III, LINE 3:	CENTERSTONE OF FLORIDA REPORTED ZERO IN LINE 3, BECAUSE BAD DEBT EXPENSE FOR INDIVIDUALS ELIGIBLE FOR CHARITY CARE UNDER CENTERSTONE'S CHARITY CARE POLICY REPRESENTS THE AMOUNT OF SERVICES THAT WOULD NOT QUALIFY FOR CHARITY CARE. PER CENTERSTONE OF FLORIDA' ACCOUNTING POLICIES, SERVICES PROVIDED TO CLIENTS THAT QUALIFY FOR CHARITY CARE ARE RECORDED IN CHARITY CARE ACCOUNTS FOR THE AMOUNT OF THE SERVICE FEE THEY QUALIFY FOR. THESE FEES ARE NOT RECORDED IN CENTERSTONE OF FLORIDA'S ACCOUNTS RECEIVABLE OR REVENUE UNDER THE CHARITY CLASSIFICATION OF REVENUE; THEREFORE, SERVICES FOR CHARITY CARE ARE NOT RECORDED IN BAD DEBT EXPENSE.
PART III, LINE 8:	N/A - THE MEDICARE ALLOWABLE COSTS WERE DETERMINED BY THE REPORTING REQUIREMENTS IN THE MEDICARE COST REPORT. MEDICARE RESTRICTS THE LIFETIME NUMBER OF DAYS FOR MENTAL HEALTH/ADDICTION SERVICES. WHEN A PATIENT IS IN THIS SITUATION, CENTERSTONE OF FLORIDA WILL STILL PROVIDE SERVICES AND MUST COVER THE COSTS OF THE CLIENTS TREATMENT WITH OTHER COMMUNITY FUNDING SOURCES.
PART III, LINE 9B:	AT CENTERSTONE OF FLORIDA WE EARN MONEY TO PROVIDE HEALTH CARE AND FULFILL COMMUNITY NEEDS; WE DO NOT PROVIDE HEALTH CARE TO MAKE MONEY. WE DETERMINE THE LEVEL OF ASSISTANCE AN INDIVIDUAL IS QUALIFIED FOR BASED ON OUR CLIENT DISCOUNT POLICY. THE FEES INCURRED, IF ANY, ARE COLLECTED BASED ON OUR FEE COLLECTION POLICY THAT IS APPLIED UNIVERSALLY TO ALL CLIENTS.
PART VI, LINE 2:	CENTERSTONE OF FLORIDA PERFORMED A COMMUNITY NEEDS ASSESSMENT DURING 2023.
PART VI, LINE 3:	PART OF THE ADMISSIONS PROCESS AT CENTERSTONE OF FLORIDA INVOLVES THE CLIENT MEETING WITH A TRAINED FINANCIAL INTAKE SPECIALIST. DURING THE MEETING THE CLIENT IS INFORMED ABOUT OUR FEE STRUCTURE FOR EACH PROGRAM AND IS GIVEN INSTRUCTIONS EXPLAINING THE DOCUMENTATION NEEDED FOR US TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. AFTER CONDUCTING AN INTERVIEW AND GATHERING FINANCIAL DOCUMENTATION, IT IS DETERMINED IF THE CLIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:	CENTERSTONE OF FLORIDA SPECIALTY HOSPITAL AND OUTPATIENT PRACTICE IS A NONPROFIT 501(C)3 AGENCY HEADQUARTERED ON THE WEST COAST OF FLORIDA IN BRADENTON. WE PROVIDE DIRECT INPATIENT AND OUTPATIENT MENTAL HEALTH AND ADDICTIONS TREATMENT TO INDIVIDUALS PRIMARILY IN MANATEE AND SARASOTA COUNTIES.MANATEE COUNTY IS LOCATED ROUGHLY MIDWAY ALONG FLORIDA'S WEST COAST AND IS BORDERED BY THE GULF OF MEXICO AND PINELLAS, HILLSBOROUGH, HARDEE, DESOTO, AND SARASOTA COUNTIES. THE COUNTY HAS SIX MUNICIPALITIES COMPRISED OF DIVERSE COMMUNITIES, EACH WITH ITS OWN PARTICULAR CHARACTER AND IDENTITY. THE SIX MUNICIPALITIES ARE: ANNA MARIA, BRADENTON BEACH, BRADENTON, HOLMES BEACH, LONGBOAT KEY AND PALMETTO. (MANATEE COUNTY 2015)BORDERING TO THE NORTH OF SARASOTA COUNTY IS MANATEE COUNTY, TO THE SOUTH IS CHARLOTTE COUNTY, TO THE EAST IS DESOTO COUNTY, AND TO THE WEST IS THE GULF OF MEXICO. CONSIDERED PART OF THE SARASOTA, BRADENTON, VENICE METROPOLITAN AREA, THE COUNTY'S INCORPORATED MUNICIPALITIES INCLUDE THE CITIES OF SARASOTA, VENICE, NORTH PORT, AND THE SOUTHERN PORTION OF THE TOWN OF LONGBOAT KEY. THE COMMUNITY ENCOMPASSES 725 SQUARE MILES. SARASOTA COUNTY POPULATION IS APPROXIMATELY 390,000 PERMANENT RESIDENTS AND APPROXIMATELY 476,000 DURING THE WINTER MONTHS. (SARASOTA COUNTY 2015) BASED UPON 2010 U.S. CENSUS DATA, THE TOTAL POPULATION OF SARASOTACOUNTY WAS 379,448, AN INCREASE OF 16.4 PERCENT SINCE THE 2000 CENSUS DATA WAS REPORTED. POPULATION DATA WAS GATHERED FROM THE U.S. CENSUS FOR THE YEARS 1900-2010 FOR MANATEE COUNTY AND INCORPORATED COMMUNITIES. LIKE MUCH OF SOUTH FLORIDA, MANATEE COUNTY HAS SEEN STRONG CONTINUOUS GROWTH . OVER THE PAST CENTURY, THE COUNTY'S POPULATION HAS GROWN FROM 4,663 PEOPLE IN 1900 TO 322,833 AT THE TIME OF THE 2010 CENSUS. THE COUNTY'S POPULATION IS PROJECTED TO CONTINUE ITS STRONG GROWTH AND INCREASE IN POPULATION BY APPROXIMATELY 95,000 RESIDENTS DURING THE NEXT 20 YEARS. IN ADDITION TO ITS PERMANENT POPULATION, MANATEE COUNTY HAS A SIGNIFICANT SEASONALINFLUX THAT INCREASES ITS POPULATION DURING THE NOVEMBER TO APRIL SEASON OF AN ESTIMATED 30% . (MANATEE COUNTY 2012)MANATEE COUNTY'S POPULATION HAS A MUCH OLDER AGE STRUCTURE THAN THE UNITED STATES OR THE STATE OF FLORIDA. IN 2010, THE COUNTY'S MEDIAN AGE WAS 45.7 YEARS, AS COMPARED TO 37.2 YEARS FOR THE NATION AND 40 .7 YEARS FOR FLORIDA. MANATEE COUNTY HAD 30.5% OF ITS POPULATION OVER THE AGE OF 60, WHILE THE U.S. WAS HALF THAT RATE AT 18.5%, AND FLORIDA AS A WHOLE WAS AT 23 . 4% . IN 2012, SARASOTA COUNTY REPORTED 32 . 5% OF ITS POPULATION WAS OVER THE AGE OF 65.ACCORDING TO THE 2010 U.S. CENSUS, APPROXIMATELY 81.9% OF THE POPULATION REPORTED THEIR RACE AS WHITE AND APPROXIMATELY 8.7% OF THE POPULATION REPORTED THEIR RACE AS AFRICAN AMERICAN. THIS ACCOUNTS FOR THE MASS MAJORITY OF MANATEE COUNTY'S POPULATION (90.6) . THE 2010 U.S . CENSUS REPORTS 91.2% OF THE SARASOTA COUNTY POPULATION TO BE WHITE, 8.4% HISPANIC AND 5% TO BE AFRICAN AMERICAN. MANATEE ANO SARASOTA COUNTIES' INCOME STATISTICS ARE COMPARABLE TO THE STATE. ACCORDING TO THE 2010 U.S. CENSUS, MANATEE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $47,876, SARASOTA COUNTY'S MEDIAN HOUSEHOLD INCOME IS $49,212 WHILE FLORIDA'S WAS $46,956 . AS COMPARED TO THE NATIONAL HOUSEHOLD INCOME, MANATEE COUNTY, SARASOTA COUNTY AND FLORIDA REPORTED JUST UNDER THE NATIONAL MEDIAN INCOME OF $51,914. LOW INCOME IS DEFINED AS THOSE WHO HAVE AN INCOME OF LESS THAN 50% OF AREA MEDIAN INCOME. ACCORDING TO THE 2010 AMERICAN COMMUNITY SURVEY THREE-YEAR ESTIMATES, THEPOVERTY RATE FOR ALL INDIVIDUALS IN MANATEE COUNTY IN 2010 WAS 13.6% AND SARASOTA COUNTY REPORTED 11% AS COMPARED TO 15.0% FOR FLORIDA AND 14.4% FOR THE U.S. THE MOST ALARMING STATISTIC IS THE HIGH RATE OF POVERTY AMONG FAMILIES HEADED BY WOMEN WITH CHILDREN LIVING IN THE HOME (25.1%). EQUALLY DISTURBING IS THE HIGH RATE OF POVERTY AMONG CHILDREN (40.6% FOR ALL CHILDREN UNDER 17).
PART VI, LINE 6:	N/A
PART VI - EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSE	CENTERSTONE OF FLORIDA ACCESS CENTER LOCATED AT CENTERSTONE OF FLORIDA HOSPITAL AND ADDICTION CENTER OFFERS PSYCHIATRIC EMERGENCY ROOM SERVICES TO ABOUT 350 FAMILIES A MONTH. CENTERSTONE OF FLORIDA HAS NEVER CHARGED A CLIENT FOR ACCESS CENTER EMERGENCY SERVICES. CENTERSTONE OF FLORIDA HOSPITAL AND ADDICTION CENTER IS THE ONLY NONPROFIT HOSPITAL IN MANATEE AND SARASOTA COUNTIES AND THE ONLY NONPROFIT PSYCHIATRIC HOSPITAL IN MANATEE COUNTY. CENTERSTONE OF FLORIDA CRISIS CENTER IS THE LAST REMAINING CHILDREN'S UNIT IN MANATEE COUNTY.

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JESUS LINARES MEDICAL DIRECTOR	(i) (ii)	363,827 ------------- 0	0 ------------- 0	36,291 ------------- 0	12,722 ------------- 0	10,541 ------------- 0	423,381 ------------- 0	0 ------------- 0
2JOSE ZAGLUL MEDICAL DIRECTOR	(i) (ii)	253,294 ------------- 0	0 ------------- 0	37,518 ------------- 0	17,560 ------------- 0	10,541 ------------- 0	318,913 ------------- 0	0 ------------- 0
3BROCK HOLLETT PSYCHIATRIST	(i) (ii)	260,694 ------------- 0	0 ------------- 0	11,351 ------------- 0	16,489 ------------- 0	10,541 ------------- 0	299,075 ------------- 0	0 ------------- 0
4DEANNA LOMAX PSYCHIATRIST	(i) (ii)	233,875 ------------- 0	0 ------------- 0	32,495 ------------- 0	16,274 ------------- 0	11,541 ------------- 0	294,185 ------------- 0	0 ------------- 0
5MELISSA LARKIN-SKINNER CEO	(i) (ii)	0 ------------- 200,778	0 ------------- 35,550	0 ------------- 25,073	0 ------------- 15,949	0 ------------- 10,541	0 ------------- 287,891	0 ------------- 0
6SHASHIDHAR SHESHANI PHYSICIAN	(i) (ii)	235,696 ------------- 0	0 ------------- 0	33,395 ------------- 0	6,186 ------------- 0	10,541 ------------- 0	285,818 ------------- 0	0 ------------- 0
7RODOLFO RENI PSYCHIATRIST	(i) (ii)	256,950 ------------- 0	0 ------------- 0	14,105 ------------- 0	0 ------------- 0	10,541 ------------- 0	281,596 ------------- 0	0 ------------- 0
8JEFFREY HAMBLIN PHYSICIAN	(i) (ii)	228,215 ------------- 0	0 ------------- 0	15,338 ------------- 0	0 ------------- 0	10,541 ------------- 0	254,094 ------------- 0	0 ------------- 0
9ROGER JOHNSON CHIEF OPERATING OFFICER	(i) (ii)	135,335 ------------- 0	5,000 ------------- 0	20,751 ------------- 0	9,970 ------------- 0	15,961 ------------- 0	187,017 ------------- 0	0 ------------- 0
10SEAN GINGRAS REGIONAL FINANCE OFFICER	(i) (ii)	0 ------------- 113,923	0 ------------- 5,000	0 ------------- 16,484	0 ------------- 8,387	0 ------------- 14,389	0 ------------- 158,183	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	10	1,328,961	COST
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	PART I: THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS.

Schedule M (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Return Reference	Explanation
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	CENTERSTONE OF FLORIDA IS THE LEADING COMMUNITY BEHAVIORAL HEALTH HOSPITAL AND OUTPATIENT PRACTICE IN SOUTHWEST FLORIDA. WITH A HISTORY SPANNING MORE THAN SIX DECADES AND FULL CONTINUUM OF BEHAVIORAL HEALTH SERVICES, WE ARE WORKING TO CHANGE THE LIVES OF CHILDREN, TEENS, ADULTS AND SENIORS WHO FACE TRAUMA, ADDICTIONS, PSYCHIATRIC ILLNESSES AND EMOTIONAL DISORDERS. CENTERSTONE OF FLORIDA SERVES NEARLY 20,000 PEOPLE OF ALL AGES. CENTERSTONE OF FLORIDA IS ACCREDITED BY THE JOINT COMMISSION. CENTERSTONE ACCEPTS MEDICARE, MEDICAID, MOST INSURANCES, AND PRIVATE PAY FOR SERVICES, AND ARE ABLE TO OFFER CARE THROUGH ADDITIONAL CONTRACTS AND GRANTS FROM FEDERAL, STATE AND LOCAL GOVERNMENT, AS WELL AS PHILANTHROPIC DONATIONS FROM FOUNDATIONS, CORPORATIONS AND INDIVIDUALS. ADDICTION SERVICES FLORIDA IS HOME TO CENTERSTONE'S BEHAVIORAL HOSPITAL AND ADDICTION CENTER, HELPING PEOPLE FROM ALL OVER THE COUNTRY SUFFERING FROM DRUG AND ALCOHOL ADDICTION 24 HOURS PER DAY, SEVEN DAYS PER WEEK. IN FY21-22, FLORIDA SECURED FEDERAL GRANTS TO EXPAND MEDICATION ASSISTED TREATMENT SERVICES IN FLORIDA COUNTIES. DEPRESSION TREATMENT THERAPIES CENTERSTONE STAFF ARE TRAINED TO HELP PEOPLE DEAL WITH DEPRESSION SO THEY LEAD A HAPPY AND HEALTHY LIFE. IN FY18-19, CENTERSTONE ACHIEVED APPROVAL TO OFFER A NEW THERAPY PROGRAM UTILIZING ESKETAMINE AT THE FLORIDA LOCATION FOR INDIVIDUALS SEEKING TREATMENT FOR SEVERE DEPRESSION. COMMUNITY BASED SERVICES COMPREHENSIVE COMMUNITY SUPPORT SERVICES INCLUDE COUNSELING, CRISIS INTERVENTION, ASSESSMENTS, MONITORING, PSYCHOSOCIAL EDUCATION, INDIVIDUAL, GROUP AND TARGETED CASE MANAGEMENT. CENTERSTONE'S FACT, CAT, AND FITT TEAMS PROVIDE INTENSIVE COMMUNITY-BASED SERVICES TO ADULTS WITH SEVERE MENTAL ILLNESS (FACT), CHILDREN WILL SEVERE BEHAVIORAL ISSUES (CAT), AND PARENTS STRUGGLING WITH ADDICTION AND INVOLVED WITH CHILD WELFARE (FITT). IN FY19-20, FLORIDA WAS AWARDED A FEDERAL GRANT FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). CCBHC IS A TWO YEAR GRANT AIMED AT INCREASING EFFICIENCY AND CAPACITY OF OUR MENTAL HEALTH AND ADDICTIONS SERVICES. IN FY20-21, FLORIDA WAS AWARDED A FEDERAL GRANT FOR AN ASSISTED OUTPATIENT TREATMENT (AOT) TEAM. AOT IS A RECOGNIZED EVIDENCE BASED PRACTICE, INTENDED TO FACILITATE THE DELIVERY OF COMMUNITY-BASED OUTPATIENT MENTAL HEALTH TREATMENT FOR INDIVIDUALS WITH SMI WHO ARE UNDER COURT ORDER. IN FY20-21, FLORIDA WAS AWARDED A LOCAL GOVERNMENT HOMELESS OUTREACH TEAM (HOT) GRANT FOR AN OUTREACH PROGRAM WHOSE MEMBERS WILL PROVIDE BEHAVIORAL HEALTH AND OUTREACH SERVICES TO INDIVIDUALS WHO ARE AT IMMINENT RISK OF OR ARE CURRENTLY HOMELESS. IN FY21-22, FLORIDA WAS AWARDED A FEDERAL GRANT FOR PERSONAL RESPONSIBILITY EDUCATION PROGRAM (PREP) TO EDUCATE YOUTH BETWEEN 10 AND 19 YEARS OF AGE AND PREGNANT AND PARENTING YOUTH UNDER AGE 21 ON ABSTINENCE AND CONTRACEPTION FOR THE PREVENTION OF PREGNANCY AND SEXUALLY TRANSMITTED INFECTIONS (STIS), INCLUDING HUMAN IMMUNODEFICIENCY VIRUS (HIV)/ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS). IN FY21-22, FLORIDA WAS AWARDED A FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES GRANT FOR A CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT PROGRAM IN MANATEE COUNTY. IN FY 22-23, FLORIDA WAS AWARDED A STATE GRANT TO EXPAND COMMUNITY ACTION TREATMENT TEAMS. OUR EARLY INTERVENTION TREATMENT TEAM (CAT TIER 3) SERVES YOUTH 0-10 YEARS OLD AND THEIR FAMILIES WHO ARE AT RISK OF OUT OF HOME REMOVALS AND/OR INCREASED CHILD WELFARE INVOLVEMENT OR CRISIS HOSPITALIZATIONS. THE TEAM PROVIDES COMPREHENSIVE AND INTENSIVE COMMUNITY BASED SERVICES FOR FAMILIES RESIDING IN MANATEE, SARASOTA, AND DESOTO COUNTIES. IN FY22-23, FLORIDA WAS AWARDED A STATE GRANT FOR TRAUMA RECOVERY SERVICES, PROVIDING ACCESS TO EFFECTIVE EVIDENCE BASED TRAUMA INFORMED TREATMENT AND SERVICES IN MANATEE, SARASOTA, AND DESOTO COUNTIES FOR CHILDREN, ADOLESCENTS, AND ADULTS WHO HAVE WITNESSED OR EXPERIENCED TRAUMATIC EVENTS. IN FY23-24, FLORIDA WAS AWARDED A SECOND FEDERAL GRANT FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IN LEE COUNTY. FLORIDA, ALSO AWARDED A SAMHSA LEE REENTRY GRANT AND FAMILY SUPPORT TEAM AND FLITE TEAM AWARDS FROM THE STATE IN FY23-24. CORPORATE STRUCTURE: CENTERSTONE OF FLORIDA, INC. IS PART OF CENTERSTONE OF AMERICA, INC., WHICH IS THE SOLE CORPORATE MEMBER OF CENTERSTONE OF FLORIDA. FOR THE 2024 TAX YEAR ENDED JUNE 30, 2024, CENTERSTONE OF AMERICA AND ITS AFFILIATES EARNED GROSS REVENUE OF $378 MILLION. CENTERSTONE PROFILE: CENTERSTONE IS A NONPROFIT HEALTH SYSTEM PROVIDING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENTS. SERVICES ARE AVAILABLE IN FLORIDA, ILLINOIS, INDIANA, NORTH CAROLINA, AND TENNESSEE THROUGH THE OPERATION OF OUTPATIENT CLINICS, RESIDENTIAL PROGRAMS, SCHOOL-BASED SERVICES, TELEHEALTH, AND AN INPATIENT HOSPITAL. CENTERSTONE ALSO OFFERS SPECIALIZED PROGRAMS AVAILABLE NATIONWIDE FOR THE MILITARY COMMUNITY, AS WELL AS SERVICES FOR CHILDREN, INCLUDING THERAPEUTIC FOSTER CARE. CENTERSTONE'S INSTITUTE PROVIDES GUIDANCE THROUGH RESEARCH AND TECHNOLOGY, LEVERAGING THE BEST EVIDENCE-BASED PRACTICES FOR USE ACROSS OUR COMMUNITIES. CENTERSTONE'S FOUNDATION SECURES PHILANTHROPIC RESOURCES TO SUPPORT THE WORK AND MISSION OF DELIVERING CARE THAT CHANGES PEOPLE'S LIVES. CENTERSTONE PROVIDES CARE FOR MORE THAN 110,000 INDIVIDUALS AND FAMILIES ANNUALLY, AND IS ACCREDITED BY CARF AND THE JOINT COMMISSION. CENTERSTONE OF FLORIDA AFFILIATES INCLUDE: CENTERSTONE OF ILLINOIS SERVES CHILDREN, YOUTH, ADULTS AND FAMILIES THROUGH MENTAL HEALTH COUNSELING, SUBSTANCE USE TREATMENT, LIFE SKILLS ENRICHMENT PROGRAMS, AND SPECIALIZED SERVICES FOR ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. EACH YEAR, CENTERSTONE OF ILLINOIS SERVICES NEARLY 10,000 PEOPLE OF ALL AGES IN SOUTHERN ILLINOIS AND THE METRO EAST ST. LOUIS AREA. CENTERSTONE OF ILLINOIS IS ACCREDITED BY CARF INTERNATIONAL. CENTERSTONE OF INDIANA PROVIDES AN ARRAY OF MENTAL HEALTH TREATMENT, SUBSTANCE USE DISORDER TREATMENT, INTEGRATED PRIMARY CARE, THERAPEUTIC FOSTER CARE AND SUPPORTIVE SERVICES TO MORE THAN 30,000 PEOPLE OF ALL AGES ACROSS SOUTHERN AND CENTRAL INDIANA EACH YEAR. CENTERSTONE HAS BEEN RECOGNIZED BY THE STATE OF INDIANA FOR ITS INNOVATIVE SERVICES IN ADDICTIONS CARE AND RE-ENTRY SERVICES. WE ARE ACCREDITED BY CARF INTERNATIONAL AND HAVE RECEIVED HEALTH HOME STATUS. CENTERSTONE OF INDIANA'S SUBSIDIARIES INCLUDE THE CENTERSTONE FOUNDATION, INC., CENTERSTONE SUPPORTIVE HOUSING, LLC AND INDEPENDENT LIVING. CENTERSTONE OF TENNESSEE HAS PROVIDED A WIDE RANGE OF MENTAL HEALTH, ADDICTION, AND THERAPEUTIC FOSTER CARE SERVICES TO PEOPLE OF ALL AGES FOR MORE THAN 60 YEARS. THROUGH OPERATIONS IN THE MIDDLE AND EAST TENNESSEE REGIONS, CENTERSTONE SERVES OVER 40,000 CHILDREN, ADOLESCENTS, ADULTS AND SENIORS EACH YEAR. CENTERSTONE OF TENNESSEE IS ACCREDITED BY CARF INTERNATIONAL AND IS A MEMBER ORGANIZATION OF THE NATIONAL FOOTBALL LEAGUE'S NFL LIFELINE. CENTERSTONE'S RESEARCH INSTITUTE IS DEDICATED TO BRIDGING THE GAP BETWEEN EVIDENCE AND PRACTICE, BRINGING INDUSTRY PROVEN AND HIGH-VALUE PRACTICES TO OUR PHYSICIANS, NURSES AND PRACTITIONERS. THIS IS ACCOMPLISHED THROUGH RESEARCH AND EVALUATION STUDIES TO DEFINE BEST PRACTICE AND ADVANCE THE TREATMENT AND PREVENTION OF MENTAL HEALTH AND ADDICTION DISORDERS. STAFF WORK CLOSELY WITH OUR CENTERSTONE AFFILIATES TO DELIVER CLINICALLY EXCELLENT, EVIDENCE-BASED AND VALUE-CARE MODELS. CENTERSTONE'S RESEARCH INSTITUTE EMBRACES TRANSPARENCY AND MEASUREMENT AS A MEANS TO ENHANCING PATIENT CARE. CENTERSTONE'S MILITARY SERVICES WORKS TO ENSURE THAT SERVICE MEMBERS, VETERANS AND THEIR FAMILIES HAVE THE RESOURCES AND SUPPORT NEEDED TO LEAD HEALTHY AND FULFILLING LIVES BEYOND MILITARY SERVICE. WE OFFER A VARIETY OF SERVICES TO ADDRESS MANY ISSUES INCLUDING COMBAT STRESS, TRAUMA, HOMELESSNESS, DEPRESSION, ADDICTION, MARRIAGE ISSUES, PARENT-CHILD RELATIONSHIP REPAIR, AND OTHER INVISIBLE WOUNDS OF WAR. THIS INCLUDES THOSE WHO ARE CURRENTLY SERVING OR HAVE SERVED IN ANY BRANCH OF THE MILITARY REGARDLESS OF DISCHARGE STATUS OR CONFLICT IN WHICH THEY SERVED. THE CENTERSTONE FOUNDATION SECURES PHILANTHROPIC RESOURCES TO SUPPORT CENTERSTONE'S NOBLE PURPOSE, "DELIVERING CARE THAT CHANGES PEOPLE'S LIVES," BOTH NOW AND IN THE FUTURE. IN ADDITION TO SECURING PHILANTHROPIC RESOURCES FOR ITS AFFILIATES AND THE PEOPLE WE SERVE, THE FOUNDATION IS CHARGED WITH PROVIDING EFFECTIVE STEWARDSHIP OF ENDOWMENTS, INCLUDING INVESTMENT AND DISBURSEMENTS. WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE OF THE INDIVIDUALS AND FAMILIES WHO COME TO CENTERSTONE FOR CARE. CENTERSTONE OF INDIANA IS THE SOLE CORPORATE MEMBER OF THE CENTERSTONE FOUNDATION.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	HOMEWOOD INSURANCE COMPANY, INC. WAS FORMED IN JUNE 2021 AS A CAPTIVE INSURANCE COMPANY SOLELY OWNED BY CENTERSTONE OF AMERICA, INC. CENTERSTONE WILL UTILIZE THE CAPTIVE PRIMARILY AS A FORMALIZED FUNDING MECHANISM TO FACILITATE A GRADUAL INCREASE IN SELF-INSURED RETENTION THEREBY REDUCING THE COMPANY'S RELIANCE ON COMMERCIAL COVERAGE TO THE HIGHER, NON-WORKING LOSS EXPOSURE LAYERS. THE CAPTIVE WILL BE UTILIZED TO FUND THE COMPANY'S SELF-INSURED EXPOSURES FOR ITS MEDICAL PROFESSIONAL, GENERAL AND AUTOMOBILE LIABILITY PROGRAMS.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE STOCKHODER OF THE ORGANIZATION IS CENTERSTONE OF AMERICA, INC., AN INDIANA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE STOCKHOLDER SHALL BE ENTITLED TO APPOINT AT LEAST ONE BOARD DIRECTOR AS SPECIFIED IN THE BYLAWS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING DECISIONS ARE TO BE RATIFIED BY THE SOLE STOCKHOLDER PRIOR TO ACTION: FORMATION OR ACQUISITION OF LEGAL ENTITIES BY THE CORPORATION; AMENDMENT OF THE CHARTER OR BYLAWS OF THE CORPORATION; APPROVAL, ACCEPTANCE, AMENDMENT OR TERMINATION OF CONTRACTS OF THE CORPORATION TO PROVIDE SERVICES OUTSIDE THE HISTORICAL LINES OF BUSINESS OR SERVICES ENGAGED IN BY THE CORPORATION; AND ADOPTION AND AMENDMENT OF THE STATEMENT OF THE MISSION OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW OF THE FORM 990 BY THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CORPORATE CONTROLLER, AND THE BOARD OF CENTERSTONE OF AMERICA. THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD CONFLICT OF INTEREST POLICY I.A1.7 REQUIRES THAT BOARD MEMBERS FILE WITH THE SECRETARY OF THE BOARD, A DISCLOSURE OF INTEREST FROM ANY BUSINESS DEALING, DIRECT OR INDIRECT, OF $500 OR MORE WITH A BOARD MEMBER OR IMMEDIATE FAMILY MEMBER. THE DISCLOSURE MUST BE REPORTED TO THE FINANCE COMMITTEE AND TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 15	IN JUNE 2024 CENTERSTONE OF AMERICA CONTRACTED WITH A THIRD PARTY CONSULTANT TO CONDUCT AN ASSESSMENT OF THE BEHAVIORAL HEALTH MARKETPLACE CEO COMPENSATION AND PROVIDE RECOMMENDATIONS TO THE ORGANIZATION'S BOARD OF DIRECTORS IN FORMING A COMPENSATION PACKAGE FOR THE CEO OF CENTERSTONE OF AMERICA, INC. AS A RESULT, THE COMPENSATION PACKAGE OF CENTERSTONE OF AMERICA'S CEO WAS UPDATED IN 2024 TO REFLECT THE CURRENT MARKET RATES. THE CEO'S COMPENSATION PACKAGE IS REVIEWED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. COMPENSATION FOR THE CEO'S OF THE CENTERSTONE AFFILIATED ORGANIZATIONS IS DETERMINED BY THE CEO OF CENTERSTONE OF AMERICA UTILIZING COMPENSATION SURVEYS AVAILABLE FROM THE INDUSTRY'S TWO MAJOR ASSOCIATIONS, AND IS SUBJECT TO REVIEW BY THE CENTERSTONE OF AMERICA BOARD ON AN ANNUAL BASIS. EXECUTIVE COMPENSATION PACKAGES WERE REVIEWED AND ADJUSTED TO MARKET AS NEEDED DURING THE 2023 TAX YEAR.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE FINANCIAL STATEMENTS HOWEVER ARE NOT AVAILABLE FOR PUBLIC INSPECTION.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTERSTONE OF FLORIDA INC

Employer identification number

59-1009537

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)AMY'S CROSSING INC 120 MANOR COURT ALTON,IL62002 45-4926717	PROVIDE HOUSING FOR THE DISABLED	TN	501(C)(3)	LINE 10	CENTERSTONE OF ILLINOIS		No
(2)ASPEN HOUSE INC 720 N MARR ROAD COLUMBUS,IN47201 35-1925610	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(3)CEDAR VIEW INC 720 N MARR ROAD COLUMBUS,IN47201 35-1943874	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(4)CENTERSTONE FOUNDATION 1921 RANSOM PLACE NASHVILLE,TN37217 26-1186476	SUPPORT FOR CENTERSTONE OF AMERICA'S CONTROLLED ORGANIZATIONS	TN	501(C)(3)	LINE 12A, I	CENTERSTONE OF INDIANA		No
(5)CENTERSTONE HEALTH SERVICES 645 SOUTH ROGERS STREET BLOOMINGTON,IN47403 35-1270418	PROVIDE HEALTHCARE FOR AT-RISK INDIVIDUALS	TN	501(C)(3)	LINE 7	CENTERSTONE OF INDIANA		No
(6)CENTERSTONE HOUSING RESOURCES 44 VANTAGE WAY SUITE 400 NASHVILLE,TN37228 30-0181963	OWN AND OPERATE GROUP HOMES	TN	501(C)(3)	LINE 12C, III-FI	CENTERSTONE OF TENNESSEE		No
(7)CENTERSTONE MILITARY SERVICES 1921 RANSOM PLACE NASHVILLE,TN37217 27-1934061	PROVIDE MENTAL HEALTH SERVICES	TN	501(C)(3)	LINE 7	CENTERSTONE OF AMERICA		No
(8)CENTERSTONE OF AMERICA 1921 RANSOM PLACE NASHVILLE,TN37217 20-0072992	HOLDING COMPANY	TN	501(C)(3)	LINE 10	N/A		No
(9)CENTERSTONE OF ILLINOIS INC 902 WEST MAIN STREET WEST FRANKFORT,IL62896 37-0916475	PROVIDE MENTAL HEALTH SERVICES	TN	501(C)(3)	LINE 7	CENTERSTONE OF AMERICA		No
(10)CENTERSTONE OF INDIANA 645 S ROGERS ST BLOOMINGTON,IN47403 35-1147323	PROVIDE MENTAL HEALTH SERVICES	TN	501(C)(3)	LINE 7	CENTERSTONE OF AMERICA		No
(11)CENTERSTONE OF TENNESSEE 1921 RANSOM PLACE NASHVILLE,TN37217 62-1674308	PROVIDE MENTAL HEALTH SERVICES	TN	501(C)(3)	LINE 3	CENTERSTONE OF AMERICA		No
(12)CENTERSTONE PROPERTY LLC 391 6TH AVENUE WEST BRANDENTON,FL34205 82-0647920	HOLDING COMPANY	FL			CENTERSTONE OF FLORIDA		No
(13)CENTERSTONE PSH LLC 645 SOUTH ROGERS STREET BLOOMINGTON,IN47403 83-2826772	HOLDING COMPANY	IN			CENTERSTONE OF INDIANA		No
(14)CENTERSTONE RESEARCH INSTITUTE 1921 RANSOM PLACE NASHVILLE,TN37217 26-2505456	RESEARCH RELATED TO MENTAL HEALTH	TN	501(C)(3)	LINE 7	CENTERSTONE OF AMERICA		No
(15)CENTERSTONE SOLUTIONS INC (FKA ADVANTAGE BEHAVIORAL HEALTH) 44 VANTAGE WAY SUITE 400 NASHVILLE,TN37228 20-1590169	PROVIDE MENTAL HEALTH SERVICES	TN	501(C)(4)		CENTERSTONE OF TENNESSEE		No
(16)CENTERSTONE SUPPORTIVE HOUSING LLC 809 DILLON DRIVE RICHMOND,IN47374 27-3732390	PROVIDE LOW INCOME HOUSING	IN			CENTERSTONE OF INDIANA		No
(17)CUMBERLAND HOLDING CORPORATION 1921 RANSOM PLACE NASHVILLE,TN37217 62-1234354	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF TENNESSEE		No
(18)DOGWOOD PLACE INC 720 N MARR ROAD COLUMBUS,IN47201 20-1926260	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(19)FRANKLIN-WILLIAMSON PROPERTIES INC 902 WEST MAIN STREET WEST FRANKFORT,IL62896 37-1275096	REAL ESTATE HOLDING COMPANY FOR CENTERSTONE OF ILLINOIS	TN	501(C)(2)		CENTERSTONE OF ILLINOIS		No
(20)HEMPEL HOUSE INC 120 MANOR COURT ALTON,IL62002 37-1365765	PROVIDE HOUSING FOR THE DISABLED	TN	501(C)(3)	LINE 10	CENTERSTONE OF ILLINOIS		No
(21)HOMEWOOD INSURANCE COMPANY INC 26 CENTURY BLVD SUITE 101 NASHVILLE,TN37214 86-3299008	CAPTIVE INSURANCE COMPANY	TN	501(C)(3)	LINE 10	CENTERSTONE OF AMERICA		No
(22)INDEPENDENT LIVING ALTERNATIVES INC 720 N MARR ROAD COLUMBUS,IN47201 31-1141620	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(23)INDIANA HOUSE INC 720 N MARR ROAD COLUMBUS,IN47201 35-1942793	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(24)MAPLEVIEW INC 720 N MARR ROAD COLUMBUS,IN47201 35-1876232	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(25)MHC DEVELOPMENT COMPANY INC 120 MANOR COURT ALTON,IL62002 37-1120291	PROVIDE HOUSING FOR THE DISABLED	TN	501(C)(3)	LINE 10	CENTERSTONE OF ILLINOIS		No
(26)MILESTONE APARTMENTS INC 2421 SOUTH ILLINOIS AVENUE CARBONDALE,IL62901 84-1851189	PROVIDE LOW INCOME HOUSING	IL	501(C)(3)	LINE 7	CENTERSTONE OF ILLINOIS		No
(27)OAKVIEW INC 720 N MARR ROAD COLUMBUS,IN47201 35-1942794	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	PF	CENTERSTONE OF INDIANA		No
(28)PINEVIEW INC 720 N MARR ROAD COLUMBUS,IN47201 35-2129307	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(29)RED OAK INDUSTRIES 720 N MARR ROAD COLUMBUS,IN47201 20-4805937	SUPPORTIVE EMPLOYMENT COMPANY FOR IN CMHC	IN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(30)THEODORO PLACE 902 WEST MAIN STREET WEST FRANKFORT,IL62896 20-1885830	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF ILLINOIS		No
(31)WILLOWVIEW INC 720 N MARR ROAD COLUMBUS,IN47201 35-2129471	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF INDIANA		No
(32)YAKUBIAN HOMES INC 120 MANOR COURT ALTON,IL62002 37-1393454	PROVIDE HOUSING FOR THE DISABLED	TN	501(C)(3)	LINE 10	CENTERSTONE OF ILLINOIS		No
(33)F-W RESIDENTIAL PROPERTIES INC 902 WEST MAIN STREET WEST FRANKFORT,IL62896 37-1398964	PROVIDE LOW INCOME HOUSING	TN	501(C)(3)	LINE 10	CENTERSTONE OF ILLINOIS		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CENTERSTONE HEALTH PARTNERS INC 1921 RANSOM PLACE NASHVILLE,TN37217 46-2383025	PROVIDE SUPPORT FOR CENTERSTONE RESEARCH INSTITUTE	TN	CENTERSTONE OF AMERICA	C					No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CENTERSTONE FOUNDATION	C	224,817	COST
(2) CENTERSTONE PROPERTY LLC	D	4,014,450	COST
(3) CENTERSTONE OF AMERICA INC	E	3,314,555	COST
(4) CENTERSTONE OF AMERICA INC	K	343,149	COST
(5) CENTERSTONE OF AMERICA INC	O	36,653,670	COST
(6) CENTERSTONE OF AMERICA INC	P	7,783,355	COST
(7) CENTERSTONE FOUNDATION	P	296,241	COST
(8) CENTERSTONE RESEARCH INSTITUTE	P	731,317	COST
(9) CENTERSTONE OF AMERICA INC	R	34,661,163	COST
(10) CENTERSTONE OF ILLINOIS	R	375	COST
(11) CENTERSTONE FOUNDATION	R	424,544	COST
(12) CENTERSTONE RESEARCH INSTITUTE	R	1,397,705	COST
(13) CENTERSTONE OF TENNESSEE	R	445,332	COST
(14) CENTERSTONE MILITARY SERVICES	R	160,295	COST
(15) CENTERSTONE PROPERTY LLC	R	4,012,599	COST

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OUR MISSION IS "DELIVERING CARE THAT CHANGES PEOPLE'S LIVES"
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	9
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	40,468,826	1,420,756
9	Program service revenue (Part VIII, line 2g) .........	16,010,531	63,398,144
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	220,753	281,651
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	158,508	1,965,475
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	56,858,618	67,066,026
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,105,317	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	33,835,673	40,180,173
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 298,341
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	20,716,377	23,447,107
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	56,657,367	63,627,280
19	Revenue less expenses. Subtract line 18 from line 12.......	201,251	3,438,746
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	28,876,035	27,522,961
21	Total liabilities (Part X, line 26).............	15,796,278	11,004,458
22	Net assets or fund balances. Subtract line 21 from line 20.....	13,079,757	16,518,503

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 25,909,208 including grants of $ ) (Revenue $ 10,705,936 )
	ADULT MENTAL HEALTHTHE CENTERSTONE BEHAVIORAL HEALTH HOSPITAL AND CRISIS STABILIZATION PSYCHIATRIC SERVICES PROVIDE PSYCHIATRIC CARE AND OTHER MENTAL HEALTH SERVICES FOR ADULTS, INCLUDING INDIVIDUAL THERAPY, FAMILY THERAPY, GROUP THERAPY AND MEDICATION MANAGEMENT. CENTERSTONE'S EXPERT PSYCHIATRISTS, PSYCHOLOGISTS, THERAPISTS AND CASE MANAGERS HELP DETERMINE THE TYPE OF MENTAL HEALTH CARE EACH CLIENT NEEDS. TREATMENT CAN INCLUDE THERAPY, MEDICATION AND OTHER SOLUTIONS TO ASSIST CLIENTS IN LIVING A HEALTHY AND FULFILLING LIFE.WE CAN HELP WITH TREATING COMMON MENTAL DISORDERS, SUCH AS DEPRESSION, ANXIETY, SCHIZOPHRENIA, PTSD AND ADHD. CENTERSTONE OFFERS A VARIETY OF SERVICES TO SUPPORT PEOPLE AND FAMILIES WHO ARE CURRENTLY EXPERIENCING, OR HAVE RECENTLY EXPERIENCED, A MENTAL HEALTH CRISIS.OUR CRISIS SERVICES WERE DEVELOPED TO STOP MENTAL HEALTH CRISES, HELP PREVENT THEM FROM HAPPENING AGAIN, ASSIST WITH MAINTAINING YOUR HEALTH AND EFFORTS TOWARD AVOIDING CRISES, AND TO CONNECT CLIENTS WITH LONG-TERM SUPPORT SYSTEMS. WHEN A FACE-TO-FACE INTERACTION IS WARRANTED, CENTERSTONE OFFERS HELP TO INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS THROUGH OUR MOBILE CRISIS RESPONSE SERVICE. OUR STAFF WORKS WITH THE INDIVIDUAL TO SUCCESSFULLY RESOLVE THE CRISIS IN A SAFE AND COMFORTABLE MANNER. CENTERSTONE'S OUTPATIENT CLINICS AND CRISIS CENTERS ALSO OFFER WALK-IN CRISIS SERVICES INCLUDING INTERVENTION ASSESSMENT AND REFERRAL, CRISIS STABILIZATION AND SHORT-TERM COUNSELING AND RESPITE CARE. CENTERSTONE'S CRISIS CALL CENTER PROVIDES CONFIDENTIAL TELEPHONE CRISIS COUNSELING, ENHANCED FOLLOW-UP CARE AND RESOURCES FOR LONG-TERM SUPPORT.

4b	(Code: ) (Expenses $ 8,170,965 including grants of $ ) (Revenue $ 3,559,169 )
	ADULT SUBSTANCE ABUSETHE CENTERSTONE BEHAVIORAL HEALTH HOSPITAL AND CRISIS STABILIZATION SUBSTANCE ABUSE SERVICES PROVIDE DETOX SERVICES TO ADULTS STRUGGLING WITH ADDICTION WHO REQUIRE MEDICAL SUPERVISION AND HELP TO DETOX IN A SAFE AND SECURE SETTING.RESIDENTIAL AND PARTIAL HOSPITALIZATION SERVICES ARE PROVIDED IN A HOSPITAL-LIKE SETTING FOR ADULTS STRUGGLING WITH ADDICTION. GROUP AND INDIVIDUAL THERAPY, ALONG WITH MEDICATION-ASSISTED TREATMENT AND PSYCHIATRY SERVICES, ARE AVAILABLE FOR PATIENT'S LONG-TERM SUCCESS. WE PROVIDE OUR PATIENTS WITH SUPPORT AND SKILLS DEVELOPMENT TO HELP THEM BECOME PRODUCTIVE, SOBER MEMBERS OF THE COMMUNITY.CENTERSTONE OFFERS A VARIETY OF ADDICTIONS OUTPATIENT SERVICES TO ADULTS. OUR LICENSED CLINICIANS ARE EXPERTS IN THEIR FIELDS WHO WORK WITH YOU TO FIGURE OUT THE BEST WAY TO HELP YOU. OUR COUNSELING SERVICES INCLUDE INDIVIDUAL, FAMILY, COUPLE OR GROUP COUNSELING IN A SAFE, COMFORTABLE AND PRIVATE SETTING.CENTERSTONE OFFERS MEDICATION-ASSISTED TREATMENT TO HELP WITH THE LONG-TERM SUCCESS OF ADDICTIONS TREATMENT. MEDICATION-ASSISTED TREATMENT CAN REDUCE ANXIETY AND PROVIDE A SAFE AND COMFORTABLE DETOX. MEDICATION-ASSISTED TREATMENT IS A PART OF TREATMENT FOR SUBSTANCE USE. FDA-APPROVED MEDICATIONS ARE USED TO CALM OVERLY-ACTIVE AREAS OF THE BRAIN, REDUCE CRAVINGS AND INCREASE PATIENT'S CHANCES OF LONG TERM RECOVERY.CENTERSTONE'S INTERVENTION SERVICES HELP OUR PATIENTS FACE DESTRUCTIVE BEHAVIORS AND RECOGNIZE THE IMPACT ON THOSE AROUND THEM.CENTERSTONE'S PREVENTION SERVICES COVER A BROAD RANGE OF MENTAL HEALTH, SUBSTANCE USE AND PUBLIC HEALTH CONCERNS. WE HELP EDUCATE ADULTS ABOUT HOW ADDICTION IS DANGEROUS, BUT PREVENTABLE.

4c	(Code: ) (Expenses $ 9,603,095 including grants of $ ) (Revenue $ 3,426,723 )
	CHILD MENTAL HEALTHCENTERSTONE'S CHILDREN'S CRISIS STABILIZATION PSYCHIATRIC SERVICES PROVIDE PSYCHIATRIC CARE AND OTHER MENTAL HEALTH SERVICES FOR YOUTH, INCLUDING INDIVIDUAL THERAPY, FAMILY THERAPY, GROUP THERAPY AND MEDICATION MANAGEMENT. A PSYCHIATRIC EVALUATION CONFIRMS A PSYCHIATRIC DIAGNOSIS FOR THE PATIENT AND ALSO IDENTIFIES OTHER MEDICAL AND PSYCHOLOGICAL ISSUES, WHICH NEED TO BE CONSIDERED IN TREATMENT. MEDICATIONS MAY BE PRESCRIBED TO TREAT DEPRESSION, ANXIETY, SCHIZOPHRENIA, PTSD, ADHD, AND OTHER DISORDERS. ALONG WITH PSYCHOTHERAPY AND CASE MANAGEMENT, OTHER TREATMENT MAY BE OFFERED. CENTERSTONE EMPLOYS A VARIETY OF PROFESSIONAL SO THAT WE WILL HAVE THE RIGHT TREATMENT TEAM FOR OUR PATIENTS. THIS INCLUDES: CASE MANAGERS, CARE COORDINATORS, COUNSELORS, MASTERS-LEVEL CLINICIANS, PSYCHOLOGISTS, NURSE PRACTITIONERS AND PSYCHIATRISTS. CENTERSTONE OFFERS PSYCHIATRIC SERVICES FOR YOUTH. A PSYCHIATRIC EVALUATION CONFIRMS A PSYCHIATRIC DIAGNOSIS FOR THE PATIENT AND ALSO IDENTIFIES OTHER MEDICAL AND PSYCHOLOGICAL ISSUES, WHICH NEED TO BE CONSIDERED IN TREATMENT. ALONG WITH PSYCHOTHERAPY AND CASE MANAGEMENT, OTHER TREATMENT ARE OFFERED. INDIVIDUALS HAVE ACCESS TO THE APPROPRIATE LEVEL OF ENGAGEMENT MONITORING INCLUDING STEPDOWN TREATMENT OPTIONS AND A VARIETY OF THERAPY GROUPS TO AID IN RECOVERY.OUR CRISIS SERVICES WERE DEVELOPED TO STOP MENTAL HEALTH CRISES, HELP PREVENT THEM FROM HAPPENING AGAIN, ASSIST WITH MAINTAINING YOUR HEALTH AND EFFORTS TOWARD AVOIDING CRISES, AND TO CONNECT CLIENTS WITH LONG-TERM SUPPORT SYSTEMS. WHEN A FACE-TO-FACE INTERACTION IS WARRANTED, CENTERSTONE OFFERS HELP TO INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS THROUGH OUR MOBILE CRISIS RESPONSE SERVICE. OUR STAFF WORKS WITH THE INDIVIDUAL TO SUCCESSFULLY RESOLVE THE CRISIS IN A SAFE AND COMFORTABLE MANNER. CENTERSTONE'S OUTPATIENT CLINICS AND CRISIS CENTERS ALSO OFFER WALK-IN CRISIS SERVICES INCLUDING INTERVENTION ASSESSMENT AND REFERRAL, CRISIS STABILIZATION AND SHORT-TERM COUNSELING AND RESPITE CARE. CENTERSTONE'S CRISIS CALL CENTER PROVIDES CONFIDENTIAL TELEPHONE CRISIS COUNSELING, ENHANCED FOLLOW-UP CARE AND RESOURCES FOR LONG-TERM SUPPORT.

	(Code: ) (Expenses $ 13,083,061 including grants of $ ) (Revenue $ 47,541,133 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 13,083,061 including grants of $ ) (Revenue $ 47,541,133 )
4e	Total program service expenses56,766,329

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,174,130	396,808	219,215

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) SHASHIDHAR SHESHANI........................................................................ PHYSICIAN	40.00 .......................	X	269,091	0	16,727

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	224,817
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,195,939

g	Noncash contributions included in lines 1a - 1f:$		1g	1,328,961

h Total. Add lines 1a-1f.......		1,420,756

		Business Code
2a	GOVERMENT CONTRACTS	623990	42,815,759	42,815,759
b	PATIENT SERVICE REVENUE	623990	17,691,828	17,691,828
c	BUSINESS CONTRACTS	623990	2,890,557	2,890,557
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		63,398,144

3 Investment income (including dividends, interest, and othersimilar amounts) ......			281,651			281,651
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	130,658
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	130,658
d	Net rental income or (loss).......			130,658			130,658
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MISC REVENUE		623990	1,834,817	1,834,817
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,834,817
12	Total revenue. See instructions.....			67,066,026	65,232,961	0	412,309

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,375,381	1,375,381
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	31,904,155	28,360,031	3,544,124
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	405,820	362,602	43,218
9	Other employee benefits .......	4,345,178	3,882,436	462,742
10	Payroll taxes ...........	2,149,639	1,920,712	228,927
11	Fees for services (non-employees):
a	Management ......	1,538,935	1,240,594		298,341
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	5,540,915	5,004,274	536,641
12	Advertising and promotion ....	91,736	82,562	9,174
13	Office expenses .......	1,515,720	1,513,966	1,754
14	Information technology ......	215,530	215,076	454
15	Royalties ..
16	Occupancy ...........	4,110,080	3,781,241	328,839
17	Travel ............	535,764	475,493	60,271
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	516,279	464,651	51,628
20	Interest ...........	498,152	151	498,001
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	975,828	975,828
23	Insurance ...	1,444,940	1,300,446	144,494
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	CLIENT ASSISTANCE	2,853,901	2,568,511	285,390
b	IN-KIND DONATIONS	1,090,895	981,805	109,090
c	OTHER EXPENSES	815,923	650,793	165,130
d	MISCELLANEOUS OPERATING	539,376	485,438	53,938
e	All other expenses	1,163,133	1,124,338	38,795
25	Total functional expenses. Add lines 1 through 24e	63,627,280	56,766,329	6,562,610	298,341
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			5,330,047	1	596,541
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			6,137,405	3	5,053,596
4	Accounts receivable, net .............			1,809,035	4	4,439,309
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			660,844	8	929,229
9	Prepaid expenses and deferred charges ......			617,590	9	808,759
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	25,871,668
b	Less: accumulated depreciation	10b	12,738,938	12,171,529	10c	13,132,730
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,149,585	15	2,562,797
16	Total assets. Add lines 1 through 15 (must equal line 33)...			28,876,035	16	27,522,961

17	Accounts payable and accrued expenses .....	5,345,790	17	4,551,781
18	Grants payable ...		18
19	Deferred revenue .........	893,920	19	620,806
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	9,556,568	25	5,831,871
26	Total liabilities. Add lines 17 through 25..	15,796,278	26	11,004,458

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	13,079,757	27	16,518,503
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	13,079,757	32	16,518,503
33	Total liabilities and net assets/fund balances ........	28,876,035	33	27,522,961